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General NPI Number Information
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NPI Number | 1487164265
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Entity Type | Organization
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Legal Business Name | CERASELIA HOTAR, LCSW PC
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Dates
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Enumeration Date | 10/05/2017
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Last Update Date | 10/05/2017
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Provider Practice Location Address
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Address Line | 3708 28TH AVE STE 202
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City | ASTORIA
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State | NY
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Zip | 11103-4248
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Country | US
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Telephone | 347-821-0882
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Fax | 646-792-3240
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Provider Business Mailing Address
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Address Line | 3708 28TH AVE STE 202
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City | ASTORIA
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State | NY
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Zip | 11103-4248
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Country | US
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Telephone | 347-821-0882
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Fax | 646-792-3240
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Authorized Official
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Title or Position | OWNER
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Name | MS. CERASELIA EMANUELA HOTAR
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Credential | LCSW
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Telephone | 347-821-0882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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